Search results for "Colorectal cancer"
MKSAP Quiz: Follow-up evaluation for colon cancer
A 69-year-old woman undergoes follow-up evaluation for stage III colon cancer, which was resected 2 years ago. She is asymptomatic and takes no medications. Following a physical exam and surveillance CT scan that reveals two lesions in the right lobe of the liver, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2022/01/25/3.htm
25 Jan 2022
Physician training increased shared decision making at subsequent visits in elderly patients
A U.S. trial found that elderly patients whose physicians had taken a two-hour online course in communication skills were more likely to have had screening discussions focused on shared decision making during a primary care visit.
https://immattersacp.org/weekly/archives/2022/08/16/5.htm
16 Aug 2022
USPSTF pulls back on recommendation of low-dose aspirin for primary prevention
In a draft recommendation statement, the U.S. Preventive Services Task Force (USPSTF) now recommends against initiating low-dose aspirin for the primary prevention of cardiovascular disease in adults ages 60 years or older and says use should be an individual decision in patients ages 40 to 59 years.
https://immattersacp.org/weekly/archives/2021/10/19/5.htm
19 Oct 2021
Single high-quality colonoscopy may provide mortality benefits for more than 10 years
Patients who received a high-quality colonoscopy had profound and stable reductions in colorectal cancer incidence and mortality throughout study follow-up, compared to the general population and to those who received low-quality colonoscopy, a Polish study found.
https://immattersacp.org/weekly/archives/2020/06/02/5.htm
2 Jun 2020
MKSAP Quiz: Follow-up after upper endoscopy, colonoscopy
A 21-year-old woman is evaluated at follow-up after upper endoscopy and colonoscopy, which were performed because of iron deficiency anemia unresponsive to oral iron therapy. Upper endoscopy revealed fundic gland polyps carpeting the stomach and multiple small adenomatous polyps in the duodenum. Following a colonoscopy, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2022/06/14/3.htm
14 Jun 2022
Older adults have greater risk for complications after colonoscopy, study finds
The results suggest that clinicians should carefully consider the decision to perform colonoscopy in patients ages 75 years and older, particularly in the presence of comorbidities, study authors said.
https://immattersacp.org/weekly/archives/2020/06/30/2.htm
30 Jun 2020
Annual FIT has moderate to high sensitivity and specificity for screening asymptomatic adults
Fecal immunochemical tests (FITs) are noninvasive, easy to prepare, and inexpensive and are as effective as colonoscopy when used in a consistent fashion to screen for colorectal cancer, an editorial stated.
https://immattersacp.org/weekly/archives/2019/02/26/4.htm
26 Feb 2019
New ACP clinical guidelines address diagnosis, management of adult patients with diverticulitis
Among other recommendations, ACP suggests clinicians can manage most patients with uncomplicated left-sided colonic diverticulitis in an outpatient setting and should refer those with complicated disease for colonoscopy after an initial episode.
https://immattersacp.org/weekly/archives/2022/01/18/2.htm
18 Jan 2022
PERSPECTIVES 4 ACP Internist Fulfilling Medicare patients’ requests for ...
Page 10 features an in-depth discussion of colonoscopyand its current and potential future place in screening for colorectal cancer.
https://immattersacp.org/archives/2014/07/acpi-201407-puzzle_t1.pdf
23 Jun 2014
Financial incentives associated with increased FIT uptake but not increased CRC screening overall
A three-arm trial of incentives for fecal immunochemical testing (FIT) and colorectal cancer screening (CRC) tested mail-only, mail and monetary, and mail and lottery interventions.
https://immattersacp.org/weekly/archives/2019/07/09/2.htm
9 Jul 2019